简介:摘要:目的:评估双镜联合手术治疗输尿管结石术后输尿管狭窄的临床效果。方法:本研究为回顾性分析,收集了2021年12月至2023年12月间在我院接受双镜联合治疗的60例输尿管结石术后输尿管狭窄患者的临床数据。观察的指标包括手术成功率、术后并发症的发生率以及术后狭窄的复发率。结果:所有患者手术均顺利完成,手术成功率为100%。术后并发症的发生率为8.33%,具体包括尿漏2例,感染3例,术后狭窄3例。所有患者在接受相应治疗后均痊愈。在术后6个月至2年的随访期间,狭窄的复发率为5%。结论:双镜联合手术治疗输尿管结石术后输尿管狭窄是一种安全且有效的方法,可以显著提高手术成功率,并降低术后并发症发生率和狭窄复发率。
简介:【摘要】目的 对双歧杆菌乳杆菌三联活菌片与蒙脱石散在小儿腹泻中的联合治疗效果展开研究。方法 研究对象为我院在2021年1月到2021年11月期间收治的66例小儿腹泻患者作为研究对象,分组后对照组33例用蒙脱石散对患儿进行治疗,观察组则联合双歧杆菌乳杆菌治疗,对比两组治疗效果。结果 对比发现观察组患者症状消失更快,出院更早,治疗有效率更高。(P<0.05)结论 用双歧杆菌乳酸菌三联活菌片与蒙脱石散联合对小儿腹泻患者进行治疗可以优化治疗效果,让患者临床症状消失更快。
简介:摘要目的观察双侧股神经阻滞麻醉对老年双膝关节置换术患者血流动力学和苏醒时间的影响.方法选择拟进行双膝关节置换术的老年患者共40例,随机分为观察组和对照组,每组20例.对观察组患者实施双侧股神经阻滞麻醉,对对照组患者实施全身麻醉.记录两组患者相关时间点的HR及MAP(平均动脉压),包括T1(麻醉前)、T2(全麻诱导前)、T3(全麻诱导)、T4(手术开始)、T5(手术开始60min)、T6(手术开始120min)、T7(患者苏醒时),观察患者的心血管事件等的发生.观察患者的苏醒时间.结果两组患者均实现安全麻醉及手术.两组的HR及MAP在麻醉诱导之后均降低,手术的过程中均基本保持平稳,控制于正常范围内,两组进行同时点比较的结果无统计学差异,即P>0.05.观察组苏醒时间比对照组短,两组比较的差异有统计学意义(P<0.05).观察组患者术中有10例应用了阿托品或者麻黄碱,3例应用降压药或者降心率药,手术结束当天出现嗜睡者1例,对照组上述三项数据分别是16、7、6例,两组比较有统计学差异,P<0.05.结论双侧股神经阻滞麻醉对老年双膝关节置换术效果好,可以稳定患者血流动力学,缩短患者的术后苏醒时间.关键词股神经阻滞麻醉;老年;双膝关节置换术;血流动力学;苏醒时间AbstractObjectiveToobservetheeffectofbilateralfemoralnerveblockanesthesiaonhemodynamicsandrecoverytimeinelderlypatientswithdoublekneereplacementsurgery.Methodsatotalof40elderlypatientswithkneereplacementsurgerywererandomlydividedintoobservationgroupandcontrolgroup,20casesineachgroup.Thepatientsintheobservationgroupweretreatedwithbilateralfemoralnerveblockanesthesia,andthecontrolgroupweretreatedwithgeneralanesthesia.TheHRandMAP(meanarterialpressure)oftwogroupswererecorded,includingT1(preanesthesia),T2(generalanesthesia),T4(T3),T5(60min),T6(120min),T7(SuXingshi),andobservedtheoccurrenceofcardiovascularevents.Observethepatient'srecoverytime.Resultstwogroupsofpatientswereachievedsafeanesthesiaandsurgery.TwogroupsofHRandMAPweredecreasedafteranesthesiainduction,andtheprocessoftheoperationreGmainedstable,controlinthenormalrange,thetwogroupswerecomparedwiththeresultsofnosignificantdifference,thatis,P>0.05.Therecoverytimeoftheobservationgroupwasshorterthanthatofthecontrolgroup,andthedifferencebetweenthetwogroupswasstatisticallysignificant(P<0.05).Observationof10patientsweretreatedwithatropineorephedrinegrouppatients,3casesofapplicationofantihypertensivedrugsordropratemedicine,surgeryattheendofthedaysleepinessin1cases,controlgroup,theabovethreedataare16,7,6cases,twogroupscomparedwithstatisticaldifference(P<0.05).ConclusionbiGlateralfemoralnerveblockanesthesiaintheelderlypatientswithdoublekneereplacementsurgery,canstabilizethehemodynamics,shortenthepatient'srecoverytime.Keywordsfemoralnerveblockanesthesia;elderly;doublekneearthroplasty;hemodynamics;recoverytime中图分类号R3文献标识码B文章编号1008-6315(2015)12-0523-02
简介:目的探讨双极射频在治疗髌骨软骨退变中价值。方法采用髌骨外侧支持带紧缩和内侧支持带松解的方法制造16只山羊髌骨软骨退变的动物模型。3个月后对右髌骨退变的软骨进行双极射频成形手术,左膝为对照侧,两侧同时进行恢复髌股关节对合的手术。观察双极射频对退变软骨的即刻效应和后期效应。结果造模方法可以造成山羊髌股关节倾斜,3个月后发生以髌骨内侧面OuterbridgeⅠ级和Ⅱ级为主的病变。即刻观察发现射频处理后的软骨表面光整,小的裂隙被融合。浅层的少量软骨细胞死亡,深层细胞受到的影响比较小。3个月后发现治疗侧髌骨软骨表面仍光滑,改良Mankin’8软骨评分结果显示治疗侧(8.50±2.51)分,对照组(11.00±4.15)分(t=2.57,P〈0.05),治疗侧软骨损伤比对照侧轻。流式细胞学检测发现治疗侧软骨细胞死亡率(18.69±7.26)%,和对照侧(25.66±13.04)%相比,差异无统计学意义(t:1.94,P〉0.05)。结论一个能级的双极射频不会对软骨细胞造成明显的损害,软骨成形术是治疗髌骨软骨退变的有效方法之一。
简介:【摘要】目的 对腹股沟疝患者接受双环节协同护理模式的术后康复效果进行探究。方法 选取2021年8月-2023年5年期间,我院收治的70例腹股沟疝患者作为实验对象,随机将其分为观察组和对照组,每组各35例。对照组采用常规护理方法,观察组在此基础上应用双环节协同护理模式,对比护理效果。结果 对比两组患者的术后恢复情况,对照组在住院时间、下床活动时间以及术后排气时间等方面,均明显长于观察组,差异有统计学意义(P<0.05);对比术后护理满意度,观察组明显高于对照组,差异有统计学意义(P<0.05)。结论 在腹股沟疝患者的术后康复中,通过采取双环节协同护理模式,康复效果良好,值得推广。
简介: 【摘要】 目的:探讨双胎妊娠不同分娩方式及临床结局关系。方法:回顾性分析 2018年 1-12月本院收治的双胎妊娠孕妇 459例的临床资料,比较不同分娩方式下孕妇的一般资料、妊娠并发症和妊娠结局。结果:双胎妊娠选择剖宫产比率明显高于阴道分娩,臀 /头位剖宫产比率最高;阴道分娩组孕妇的年龄、孕周及初产妇例数均显著低于剖宫产组( P<0.05);孕妇伴发妊娠期高血压疾病、妊娠期糖尿病、胎儿窘迫、胎膜早破及胎盘早剥等并发症时,选择剖宫产的比率高于阴道分娩( P<0.05);阴道分娩组胎儿的早产率高于剖宫产组( P<0.05),两组产后出血率比较,差异无统计学意义( P>0.05);新生儿体重较大者选择剖宫产的比率高于阴道分娩( P<0.05),两种分娩方式的第 1胎生后的 Apgar评分比较,差异无统计学意义( P>0.05),阴道分娩组第 2胎生后的 Apgar评分≤ 7分者明显高于剖宫产组( P<0.05)。结论:双胎妊娠的孕妇在选择分娩方式时要综合考虑各项因素,改善妊娠结局及新生儿预后。 【关键词】 双胎妊娠; 剖宫产; 阴道分娩 [Abstract] Objective: To explore the relationship between different delivery methods and clinical outcomes of twin pregnancy. Methods: the clinical data of 459 cases of twin pregnancy in our hospital from January to December 2018 were analyzed retrospectively, and the general data, pregnancy complications and pregnancy outcomes of pregnant women in different delivery modes were compared. Results: the cesarean section rate of twin pregnancy was significantly higher than that of vaginal delivery, and the rate of breech / head cesarean section was the highest; the age, gestational weeks and the number of primiparas in vaginal delivery group were significantly lower than that in cesarean section group (P < 0.05); the rate of cesarean section was higher in pregnant women with complications such as pregnancy induced hypertension, gestational diabetes, fetal distress, prom and placental abruption In vaginal delivery (P < 0.05), the premature delivery rate in vaginal delivery group was higher than that in cesarean section group (P < 0.05), and there was no significant difference between the two groups in postpartum hemorrhage rate (P > 0.05); the rate of cesarean section for the heavier newborn was higher than that of vaginal delivery (P < 0.05), and there was no significant difference in Apgar score after the first birth between the two delivery methods (P > 0.05) The Apgar score ≤ 7 in the second birth group was significantly higher than that in the cesarean section group (P < 0.05). Conclusion: in order to improve the outcome of pregnancy and the prognosis of newborn, all factors should be taken into consideration when choosing the mode of delivery.